NPI | 1467637405 |
---|---|
Other Name | SAN MARCOS FOOT AND ANKLE CLINIC |
Entity Type | Organization |
Authorized Contact | DIANE MARIE PHALEN Owner 512-396-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 0992) |
Enumeration Date | 2008-01-09 |
Last Update Date | 2015-04-01 |